Organization Active NPI

Cumberland Valley Childrens Advocacy Ctr

  • Voluntary or Charitable Agency
  • London, KY
National Provider Identifier
1760525596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
CUMBERLAND VALLEY CHILDRENS ADVOCACY CTR
Practice address
1130 E 4TH St
London, KY 40741-2529
Phone
(606) 878-9116
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christy L George, RN
Title
Medical Unit Coordinator
Phone
(606) 878-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1130 E 4TH St
London, KY 40741-2529

Mailing address

1130 E 4TH St
London, KY 40741-2529
Phone (606) 878-9116

Other identifiers 1

IdentifierTypeStateIssuer
13000047MedicaidKY

National Provider Directory

National Provider Directory

Locations

1130 E 4th St
London, KY 40741
Phone (606) 878-9116

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760525596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E 4TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412529",
            "telephone_number": "606-878-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E 4TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412529",
            "telephone_number": "606-878-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND VALLEY CHILDRENS ADVOCACY CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL UNIT COORDINATOR",
        "authorized_official_telephone_number": "606-878-9116",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13000047",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.